Please include the following information. These are questions you will be asked if you called the office. Although you may not have all the information asked, the more details you can provide, the easier it is to evaluate the facts and circumstances surrounding the issue. The following questions are important to all cases.

Who was involved?

What did they do?

When did they do it?

Where did it happen?

How did it happen?

How do you know it happened?

Mail your completed form to the address above, or you can fax the information to (615) 365-7332.